A grade PMID 42321916
View analysis →Finding therapies hidden in 39,488 pediatric cancer papers.
Neurocompute scores pediatric oncology literature, surfaces overlooked therapeutic signals, and turns fragmented childhood cancer research into a living discovery terminal.
Ranked Discovery Journal Articles
A grade PMID 42690647
View analysis →A grade PMID 42372741
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All ranked pediatric cancer papers
Three healthy-participant studies found that oral tilpisertib fosmecarbil was rapidly converted to the TPL2 inhibitor GS-4875, produced sustained pathway biomarker inhibition, caused only grade 1 investigator-attributed adverse events, and increased creatinine through apparent renal transporter inhibition without measured GFR impairment.
The record demonstrates systemic exposure and pharmacodynamic inhibition of the TPL2 pathway in healthy participants; it can only be inferred—not concluded from these data—that TPL2 inhibition might have therapeutic value in a TPL2-dependent pediatric cancer, because no tumor models, patients with cancer, antitumor responses, or pediatric-specific outcomes were reported.
This multidisciplinary Chinese guideline uses GRADE methodology and expert review to provide recommendations for diagnosis, surgery, radiotherapy, prognosis, follow-up, long-term endocrine and hypothalamic management, and targeted therapy in pediatric craniopharyngioma.
The record supports the clinical value of standardized, multidisciplinary management; it is reasonable—but not demonstrated here—to hypothesize that integrating tumor-directed treatment with endocrine, hypothalamic, and long-term care could improve outcomes and reduce morbidity, while any benefit from targeted therapy requires validation in clinical trials.
This multicenter retrospective cohort combined with a structured literature review describes 55 children with invasive fusariosis, reporting frequent dissemination, substantial mortality, common use of voriconazole and liposomal amphotericin B, and an association between disseminated disease and fusariosis-related death.
The record supports disseminated disease as a clinical risk marker and documents outcomes under commonly used antifungal regimens; it suggests—but does not establish—that earlier diagnosis and optimized aggressive antifungal treatment while maintaining management of the underlying malignancy could improve outcomes.
In a retrospective series of 55 pediatric soft tissue sarcoma samples, targeted NGS identified clinically relevant alterations in 37 cases, refined or reclassified several ambiguous diagnoses, and revealed potentially actionable alterations without reporting targeted-treatment outcomes.
The study provides evidence that NGS can identify diagnostically defining and potentially actionable alterations in pediatric soft tissue sarcomas; it is reasonable—but not demonstrated here—to hypothesize that using these findings for treatment selection could expand access to matched targeted therapies and improve outcomes in selected patients.
In a retrospective cohort of 50 pediatric and 97 adult eyes with symptomatic circumscribed choroidal hemangioma treated with I-125 plaque brachytherapy, pediatric tumors regressed faster initially, while five-year anatomical and visual outcomes were broadly comparable between age groups and more than 60% of patients improved by over two Snellen lines.
The reported evidence suggests that I-125 plaque brachytherapy can provide durable tumor regression, subretinal-fluid resolution, and visual improvement in pediatric circumscribed choroidal hemangioma; it is an inference—not established by this retrospective comparison—that earlier treatment may better preserve vision or that enhanced pediatric radiosensitivity explains the faster initial regression.
In a retrospective pooled analysis of 529 HSTCL patients, severe anemia and immunosuppression predicted worse survival, while platinum-containing induction and stem cell transplantation—particularly after complete response—were associated with better survival than comparator strategies.
The reported associations support the hypothesis that achieving disease control with non-CHOP platinum-containing induction followed by early transplantation evaluation may improve outcomes in HSTCL; however, this is an inference from retrospective pooled data and requires external validation rather than evidence of established treatment benefit.
This narrative review synthesizes pediatric and supportive adult IBD evidence on biologic switching and proposes a framework using therapeutic drug monitoring, failure type, disease phenotype, and prior exposure to guide treatment sequencing.
The reviewed evidence supports the IBD-specific hypothesis that distinguishing pharmacokinetic from pharmacodynamic anti-TNF failure may help select dose optimization, within-class switching, or a change in therapeutic class; any relevance to pediatric oncology is only cross-disciplinary inference because the record contains no cancer population, anticancer intervention, or oncology outcome.
In a 121-patient neuroblastoma cohort with phospho-mutant model follow-up, low PML and high S518-phosphorylated PML were associated with aggressive disease and poorer survival, while S518 phosphorylation reduced PML abundance and promoted an invasive cellular phenotype.
The record provides evidence that PML S518 phosphorylation is linked to PML loss, invasion, therapy resistance, and adverse clinical outcomes; it supports—but does not test—the hypothesis that inhibiting this phosphorylation or preventing consequent PML degradation could restore tumour-suppressive activity and improve treatment response in high-risk neuroblastoma.
In a retrospective before-after cohort of 220 patients aged 13–25 years with differentiated thyroid cancer receiving radioiodine-131, a multicomponent adolescent-centered supportive care program was associated with lower anxiety and depression scores and better adherence, school/work resumption, and medical satisfaction than historical routine care.
The reported observational evidence suggests that structured, developmentally tailored supportive care may improve psychosocial and adherence outcomes during radioiodine therapy; it remains an inference—not a causal finding—that components such as narrative interviews, education, counseling, and social-adaptation training produce these benefits or improve cancer outcomes.
In prospective studies of newly diagnosed Ewing sarcoma, elevated pretreatment ctDNA predicted inferior outcomes, and integration of ctDNA with clinical and genomic features identified low-, intermediate-, and high-risk groups.
The evidence supports ctDNA burden as a prognostic biomarker; it remains an inference, requiring prospective interventional validation, that these clinical-molecular groups could guide treatment de-escalation for very-low-risk patients, intensification or novel therapies for high-risk patients, and response-adapted management based on persistent ctDNA.
This SFCE harmonization workshop provides literature- and expert-consensus-based recommendations for thrombophilia testing, risk-adapted prophylaxis, and anticoagulant treatment of venous thromboembolism in children receiving acute lymphoblastic leukemia therapy.
The record supports a clinical-management hypothesis that selective LMWH prophylaxis for high-risk patients and individualized LMWH-to-DOAC treatment strategies may reduce VTE-related morbidity while permitting continued ALL therapy; however, comparative efficacy, safety, and effects on leukemia outcomes are not established by the supplied abstract.
In a retrospective cohort of 28 patients aged 8–24 years with malignant femoral bone tumors, liquid nitrogen-treated autograft plus megaprosthesis was associated with better functional scores, shorter operations, lower blood loss, and 70% bone union compared with total femoral replacement, while oncological differences were not statistically conclusive.
The study provides preliminary clinical evidence that LN-MP can enable joint-preserving limb reconstruction with favorable function and feasible graft-host union; it remains an inference, requiring larger and longer controlled studies, that this approach improves long-term oncological or reconstructive outcomes over total femoral replacement.